DIME - Test Summary

Summary for Test 2022-09-15-71-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 214487 DEA: 120Q9304 EFIS: 1217000128
DIST-CO-RTE-PM	12-ORA-5,133,241-122,241-var
Award Date	05/09/2022
Closeout Date	12/01/2025
Work Description	12-0Q930, SHOPP RESERVATION BRIDGE PROJECT - BRIDGE UPGRADE, WINGWALL, SUBSTRUCTURE, DECK, SPALL, JOINT SEAL, CONC.
Location Description	ORANGE COUNTY AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 12/10/2020)

Sample Taken Date	09/15/2022	Sample Unique Key	71
Date that the sample was received by the laboratory/organization performing the testing	09/22/2022	Sample type	Quality Assurance
A brief description of the sample	Bearing Pad	The quantity of what the sample constitutes	1
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Kari
Last name of sampler or witnessed by	Gibbs	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	DS Brown
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	646241103-1A
Material/Compound/Elastomer ID	NA	Samples Representing	10
Description (size)	1.724x12x14	Comments
Description (Number of Shims)	3	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	DS Brown
Batch Number	NA

DIME Sample ID: 2022-09-15-71

DIME Test ID: 2022-09-15-71-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2022-10-07

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 10/07/2022

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/7/2022 ✔